Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $80.19 / $131.46	Facility		$65.63	$80.19	$131.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $88.74	Professional		$65.63	$65.63	$88.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $52.50 / $65.63	Facility		$52.50	$52.50	$65.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $65.63 / $100.39	Professional		$60.73	$65.63	$100.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $58.96 / $58.96 / $61.91	Facility		$58.96	$58.96	$61.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $58.96 / $58.96	Professional		$58.96	$58.96	$58.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.99 / $61.91 / $65.63	Facility		$59.99	$61.91	$65.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $61.91 / $92.87 / $332.00	Facility		$61.91	$92.87	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $68.09 / $84.82	Professional		$68.09	$68.09	$84.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $65.63 / $66.86	Facility		$65.63	$65.63	$66.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $66.86	Professional		$65.63	$65.63	$66.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $59.99 / $61.91 / $555.00	Facility		$59.99	$61.91	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.63 / $90.71	Professional		$65.41	$65.63	$90.71
United Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $98.45	Professional		$65.63	$65.63	$98.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.86 / $66.86 / $66.86	Facility		$66.86	$66.86	$66.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $65.63 / $66.86	Professional		$45.17	$65.63	$66.86